Exploring Surgical Options for Unusual Skull Shape and Thickness
The shape of the skull is abnormal at birth, featuring two prominent angles? Since birth, my head has been shaped like a square television. The bones on the top and sides of my skull feel particularly thick. I had a CT scan done at my own expense, and the doctor confirmed that my...
Dr. Zhang Junwei reply Neurosurgery
I haven't encountered this issue either; I recommend seeking assistance at a medical center's neurosurgery outpatient clinic.[Read More] Exploring Surgical Options for Unusual Skull Shape and Thickness
Understanding the Connection Between Neck Issues and Gastrointestinal Disorders
Please provide more context or specific information regarding the neck for further assistance? Hello, Deputy Director. Thank you for your response. However, why do some online medical articles suggest a connection between stomach issues and the cervical spine? I had a relapse in ...
Dr. Zhang Junwei reply Neurosurgery
A small portion of the cervical spine may affect the autonomic nervous system, which is related to the gastrointestinal system.[Read More] Understanding the Connection Between Neck Issues and Gastrointestinal Disorders
Should You Get Checked After a Basketball Hits Your Head?
Hit on the top of the head? This morning around 9:20, I was hit on the top of my head by a basketball. It hurt a little at the moment, but the pain went away after a minute or two. I haven't experienced any other symptoms since then. Do I need to get checked?
Dr. Zhang Junwei reply Neurosurgery
If there are no further symptoms, no follow-up examinations are necessary.[Read More] Should You Get Checked After a Basketball Hits Your Head?
Understanding Post-Trauma Symptoms: When to See a Specialist
Head injury About two years ago, I had a motorcycle accident and hit my right forehead. I went to the hospital at that time and had a head X-ray, which showed no issues. However, recently I have noticed some swelling in my right eyelid and the area above my eyelid on the forehead...
Dr. Zhang Junwei reply Neurosurgery
The injury from two years ago is theoretically unlikely to be related to the current swelling. It is recommended to consult a neurosurgery outpatient clinic for examination.[Read More] Understanding Post-Trauma Symptoms: When to See a Specialist
Managing Head Injuries in Children: Ice or Heat for Swelling?
A child fell down? If a young child accidentally bumps their head while playing and initially cries but is comforted, it is important to monitor them for 72 hours. If there are no symptoms such as vomiting, excessive sleepiness, fainting, and they are eating and drinking normally...
Dr. Zhang Junwei reply Neurosurgery
Typically, apply ice for the first three days, then switch to warm compresses.[Read More] Managing Head Injuries in Children: Ice or Heat for Swelling?
Understanding Cervical Spine Issues and Surgical Options: A Patient's Journey
Cervical spinal cord issues and surgery? Hello, Vice Dean. I would like to consult you. I have congenital S-shaped scoliosis, with a lumbar curvature of 90 degrees and significant thoracic curvature. In 2000, I developed a gastric condition that led me to sleep in a raised positi...
Dr. Zhang Junwei reply Neurosurgery
1. Gastroesophageal reflux should not be related to the cervical spine. 2. Muscle atrophy of the right thumb is a possibility. 3. Without detailed medical history and physical examination, an accurate answer cannot be provided.[Read More] Understanding Cervical Spine Issues and Surgical Options: A Patient's Journey
Monitoring Intracranial Pressure After Ventriculostomy: Key Insights
How to monitor intracranial pressure after the placement of a ventriculostomy catheter? Hello Doctor: My father is currently in a vegetative state. Before he fell into a complete coma, he was still conscious and able to move his eyes. During that time, it was discovered that he h...
Dr. Zhang Junwei reply Neurosurgery
To directly measure intracranial pressure, invasive procedures such as lumbar puncture are required. A CT scan can only indirectly detect ventricular enlargement and then infer elevated intracranial pressure.[Read More] Monitoring Intracranial Pressure After Ventriculostomy: Key Insights
Understanding Head Swelling and Depression After Injury: When to Seek Help
Cranial mass and depression Hello, two months ago I slipped in the bathroom and hit the left side of my head. There is still a lump and a dent, but I only experienced severe pain and dizziness for the first few weeks after the injury. I currently have no discomfort. I would like ...
Dr. Zhang Junwei reply Neurosurgery
If the depression persists without recovery, it is recommended to visit the neurosurgery outpatient clinic for an examination.[Read More] Understanding Head Swelling and Depression After Injury: When to Seek Help
Understanding Hypoxia in Neurological Emergencies: A Case Study
Cerebral hypoxia My boyfriend is 43 years old. On the morning of February 17, he suddenly became rigid all over, drooled, and after five minutes, his lips turned purple. When the ambulance arrived about five minutes later, he had no pulse. They used an AED but there was still no ...
Dr. Zhang Junwei reply Neurosurgery
The probability is extremely low, and even if one wakes up, there are usually severe sequelae such as dementia, physical disabilities, and so on.[Read More] Understanding Hypoxia in Neurological Emergencies: A Case Study
Understanding Tongue Weakness After Brain Surgery: Causes and Recovery
Half of the tongue is flaccid? Hello, doctor. I underwent a resection surgery for an intracranial hemangioma last November, located in the cerebellum, which was compressing the brainstem and cerebellum. Before the surgery, I experienced symptoms such as hand numbness, left-sided ...
Dr. Zhang Junwei reply Neurosurgery
Hemangiomas are benign, but they can affect the function of nearby nerves, and the specific functions impacted are related to the location of the hemangioma.[Read More] Understanding Tongue Weakness After Brain Surgery: Causes and Recovery
Understanding Subarachnoid Hemorrhage and Low Potassium After Car Accident
Subarachnoid hemorrhage from a car accident? Hello, doctor. My mother is 61 years old and had a car accident on February 4th. She sustained a 7 cm laceration on the left side of her head and multiple abrasions on her body. A CT scan showed subarachnoid hemorrhage, but the emergen...
Dr. Zhang Junwei reply Neurosurgery
Hypokalemia is usually not related to cerebral hemorrhage; it is likely a renal issue.[Read More] Understanding Subarachnoid Hemorrhage and Low Potassium After Car Accident
Understanding Sacral Cysts: Symptoms, Diagnosis, and Treatment Options
Sacral cyst? Hello Doctor: I accidentally had pressure applied to my sacral vertebra, which resulted in a slight numbness in my labia (but there is no pain at all). Later, I consulted an orthopedic doctor who mentioned spinal stenosis and attempted to perform a lumbar traction, b...
Dr. Zhang Junwei reply Neurosurgery
Most spinal cysts do not have an impact; I can only suggest that you consult a neurosurgeon at a medical center for further evaluation.[Read More] Understanding Sacral Cysts: Symptoms, Diagnosis, and Treatment Options
Understanding Persistent Head Pressure: Causes and Solutions
Feeling a sense of heaviness or pressure in the head? For about two years, I have been experiencing a sensation of discomfort in my head, primarily in the back and on both sides, which feels dull and swollen. I also have difficulty concentrating and occasionally experience mild s...
Dr. Zhang Junwei reply Neurosurgery
Atypical head symptoms, recommended for evaluation in a neurology outpatient clinic.[Read More] Understanding Persistent Head Pressure: Causes and Solutions
Head Injury from Door Frame: What to Watch For and Signs of Concern
What should you pay attention to after hitting a door frame? Hello, doctor. Earlier, I accidentally bumped the upper right side of my head against a door frame because I didn't pay attention to its height. My mom saw it and said it was quite a hard hit, but currently, there ...
Dr. Zhang Junwei reply Neurosurgery
The likelihood of a brain hemorrhage is low, but if there are persistent symptoms such as headache, dizziness, nausea, vomiting, or altered consciousness, it is important to seek medical attention immediately.[Read More] Head Injury from Door Frame: What to Watch For and Signs of Concern
Understanding Cervical Spine Fractures: Recovery and Treatment Insights
Cervical spine fracture Hello Doctor, my relative was in a car accident two days ago. The vehicle in front made an emergency stop, causing my relative, who was riding a motorcycle, to collide with it due to insufficient braking. They experienced severe pain at the scene and were ...
Dr. Zhang Junwei reply Neurosurgery
1. The pain is not caused by edema, but by nerve damage; edema can occur during the acute phase of nerve injury. 2. If the limbs are still functional, the risk of subsequent paralysis is low, unless further injury occurs. 3. This depends on the severity of the initial nerve d...[Read More] Understanding Cervical Spine Fractures: Recovery and Treatment Insights
Understanding Recovery Patterns After Brain Injury: A Patient's Journey
Recovery status after brain injury? Hello, doctor. My mother fell and suffered a subarachnoid hemorrhage about two weeks ago, primarily affecting the left frontal and temporal lobes. At that time, her Glasgow Coma Scale (GCS) score was 5-6. After undergoing craniotomy, her curren...
Dr. Zhang Junwei reply Neurosurgery
1. Without a CT scan report and a detailed neurological assessment, it is difficult to answer this question. Based solely on your brief description, it is not possible to determine the extent of the patient's injuries. 2. The process of cognitive recovery can indeed exhibi...[Read More] Understanding Recovery Patterns After Brain Injury: A Patient's Journey
Could It Be a Brain Tumor? Understanding Head Pain Symptoms
Could it be a brain tumor? When I shake my head or nod, I feel a painful sensation inside my head as if something is moving around, but I don’t experience any pain when I'm not doing those movements. The pain is located in the upper back part of my head. Could this be a brai...
Dr. Zhang Junwei reply Neurosurgery
It does not appear to be a brain tumor; a follow-up at the neurology outpatient clinic is recommended.[Read More] Could It Be a Brain Tumor? Understanding Head Pain Symptoms
Recovery from Intracranial Hemorrhage After Car Accident: What to Expect
Intracranial hemorrhage after a car accident? I am 18 years old and had a car accident three months ago that resulted in intracranial hemorrhage. I am currently recovering well and have already stopped medication. Will the intracranial hemorrhage fully recover? Will it affect my ...
Dr. Zhang Junwei reply Neurosurgery
Intracranial hemorrhage can lead to complete absorption of the blood clot; however, recovery depends on the severity of neurological deficits at the time of injury.[Read More] Recovery from Intracranial Hemorrhage After Car Accident: What to Expect
Understanding Why Aneurysms May Go Undetected After Subarachnoid Hemorrhage
The cause of hemangiomas is not fully understood? Hello doctor, my family member was hospitalized on January 2nd due to subarachnoid hemorrhage. They underwent a CT scan and angiography, and although they have been continuously examined, no aneurysm has been found. The attending ...
Dr. Zhang Junwei reply Neurosurgery
That's approximately the reason mentioned above.[Read More] Understanding Why Aneurysms May Go Undetected After Subarachnoid Hemorrhage
Understanding Post-Trauma Complications After a Car Accident
Motor vehicle accident head injury? Hello, Dr. Chang. I would like to ask you about my condition. I was involved in a traffic accident in June 2023, and the doctor's diagnosis included: 1. Traumatic subarachnoid hemorrhage and subdural hematoma 2. Skull fracture 3. Right lun...
Dr. Zhang Junwei reply Neurosurgery
Some overly subjective symptoms and neurological issues that cannot be verified through tests can only be determined by a physician.[Read More] Understanding Post-Trauma Complications After a Car Accident